| NPI | 1730244047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIDA GANJOO Member 301-249-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-09-11 |